!A Entering in or using all City of Eugene parks, open spaces or facilities—. <br />CIV) <br />The basis for this Notice of Restriction of Use is that on you. violated Section of the Park <br />and Open Space Rules, and/or Section 2 �C49 of the E u gene Code, 1971, and/or ORS To wit, you:— <br />( of the violation.) <br />This restriction of use is effective begrinning on 0 2L5 , and s hall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R-1,074 you are entitled to an informal hearing to contest this Notice. Arequest for <br />an <br />informal hearing must be made in writing and Filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of - receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director wi H only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident, The Division Director may exclude anyone,, other than you and those presenting testimony, from the informal hearing, <br />This Notice shall renmin, in effect pending, any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />(SigrII Of person issuing/delivering notice <br />_52,4,t yd'q <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy_ Public Works Green Copy! File Ydlow Copy: Ruport Copy Pink Copy: Recipient Gold Grapy: Officer Appeal nuflue Rev 04,TI3 <br />Nanie: Last Firs Middle <br />DOR SZP, <br />Puce /sex: <br />C!4 v <br />eij IAI <br />Res. Address: city <br />I <br />State <br />Zip <br />I <br />Res- Phone: <br />Work Phone: <br />— <br />'T a-4-4-:f� <br />!A Entering in or using all City of Eugene parks, open spaces or facilities—. <br />CIV) <br />The basis for this Notice of Restriction of Use is that on you. violated Section of the Park <br />and Open Space Rules, and/or Section 2 �C49 of the E u gene Code, 1971, and/or ORS To wit, you:— <br />( of the violation.) <br />This restriction of use is effective begrinning on 0 2L5 , and s hall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R-1,074 you are entitled to an informal hearing to contest this Notice. Arequest for <br />an <br />informal hearing must be made in writing and Filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of - receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director wi H only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident, The Division Director may exclude anyone,, other than you and those presenting testimony, from the informal hearing, <br />This Notice shall renmin, in effect pending, any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />(SigrII Of person issuing/delivering notice <br />_52,4,t yd'q <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy_ Public Works Green Copy! File Ydlow Copy: Ruport Copy Pink Copy: Recipient Gold Grapy: Officer Appeal nuflue Rev 04,TI3 <br />